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At what point do you euthanize........?

I have a very large fancy goldfish... about the size of a baseball... and he has been very sick. I noticed he had parasites and septicemia so I treated him for both. He seemed to be doing better and seemed healthier, however he kept swimming sideways. I thought maybe it was swimbladder but yesterday I moved to a different town and ever since I set his tank back up and put him in it he's been laying on the bottom on his side immobile. He literally looks dead until you walk up to the tank and then he moves slightly. Idk what to do for him and I DEFINITELY don't want him suffering....